ProFresh Barber Academy Application Form

Barber School Application Form

First Name *

Last Name *

Age *

Gender *

Date of birth *

Phone *

Email *

Address

Street Address *

City

State

Country

Postal code

Education Level Completed *

What month do you expect to start?

Which program are you interested in?

Full Time Day Class (M-T-W-T 8:00am-4:30pm) Payment Plan $2,000 Down, $791 a Month for 12 Months

Part Time Night Class (M-T-W-T 4:30pm-9:30pm) Payment Plan $1,500 down, $556 a Month for 18 Months

Accelerated Day Class (M-T-W-T 8:00am-6:00pm) Payment Plan $2,500 down, $900 a Month for 10 Months

Instructor Training Class (M-T-W 8:00am-4:30pm) Payment Plan $1,000 Down, $500 a Month for 9 Months

Crossover Night Class (2-day Flex) $1,000 down, $500 a Month for 6 Months

In Case Of Emergency, Who Will Be Notified?

Emergency Contact Person

Emergency Contact Number

Health History

If Student Has Allergies, Please List Them Below:

Does Student Currently Take Any Medications? If So, List Them Below:

Was The Student Previously Hospitalized, Or Undergo Any Surgery?

Does The Student Have Any Medical Conditions You Would Like To Declare?

Applicant Signature *

Clear

Date Signed *

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